European Stars And Stripes (Newspaper) - September 20, 1986, Darmstadt, Hesse                                New Yolk tuft my photo doctors study to feast rays to diagnose cancer an estimated 123,000 new cases will be  the 0nd of this year. Breast cancer research advancing questions still remain Bonadine Brozan new York times Reast cancer con Linus to strike women with  Lorce and still baffles science despite marked Progress in prolonging lives and the development of new methods of to calmest Tho Central questions asked by generations of women what causes Beasl cancer and what can to done to prevent it remain unanswered. The stall slice speak for them selves one of every 11 to Marjh in the United slates will develop breast cancer during her lil Elime every 15 minutes three women learn that they have i and one woman Dies of its Eti Els. An estimated 123.000 now cases will be selected before Iho end cd 1986 ii will take 40,200 lives this year All but 300 of them women. Worron Are dying As a result of breast cancer a disease that takes Many forms Al More or less the same Rale they did so years ago. With research advancing on Many fronts physicians and scientists specializing in breast cancer Are cautiously hopeful. One cause or choir optimism is thai although the death rate for breast cancer is not declining the five year survival rate that is the percentage of patients who Are Active Tive years alter their disease has been diagnosed has been improving. For example of the women diagnosed from 1950 through 1 q&4,59 percent were alive five years later Tor those diagnosed in the 1977-1982 period 74 percent wore alive diagnosis no longer Means automatic loss of the breast radiation therapy to destroy lingering malignancies in the breast makes surgery that removes Only the tumor possible and it the Lymph nodes under the Arm contain malignant cells an indicator that cancer May be growing elsewhere drugs and hormones Are administered to eradicate them when the breast is removed the surgery now performed is less disfiguring than in the past and Tor those who wish it there is the Prospect of reconstruction. Recognition by the medical Community that loss of a breast has profound and distinctive effects on women has dramatically influenced physician patient relationships. Why then Given such Progress has there been no change in Iho death Rale the number of women in the Loial population who die of the disease according to experts at major cancer centers around the United Stales Here Are several reasons women live longer so Are More vulnerable statistics lag tar behind the application of new approaches it May Lake years to determine that a new drug has he ability to save lives. New practices do not rapidly filler into the Community. As or. Samuel Hellman physician in chief Al. Memorial Sloan Kettering cancer Center in new York and a radiation oncologist put in. We have not yet had widespread screening so the advances offered by the Mammogram Are limited radiation treatment is just beginning to spread into the population and chemotherapy data has just reached the Point where we can Start to measure the results i predict that we will see improvement As these procedures become More widely used and sufficient Lime elapses for them to Altel the death  underlying the advances in the treatment of breast cancer is a change in the fundamental View of How it migrates from its site of origin in the breast where it does nol Hill to other Sites the brain lung Bones among them where in does. Or. Susan m. Love director of the breast clinic at Beth Israel Hospital in Boston and a surgical oncologist Al the Dana Farber cancer Institute there explained the prevailing theory when hasted started oat she said referring to Iho Baltimore surgeon who in 1 694 introduced the drastic surgery thai was to prevail until the 1970s, the theory was that the cancer started in the breast slowly got bigger travelled to the Lymph nodes one by one and Only spread when it reached the last Node. So the thinking was thai if you Gol in fast enough and High enough above the nodes. Page 14 the stars and stripes you could prevent the  thai led she said to the practice in surgery of bigger be Ler further and As fast As  now it is believed that metastasis is nol an orderly predictable process rather to is thought that by the Lime a Tum of shows on an a Ray or As a palpable mass abnormal Ceils May already to growing Tulskie he to treas. The doubling Lime of one cell is about 90 Days although cells do not All grow at the same rate nor Are they continually  love said. To have one centimetre of breast cancer you need 100 billion cancer celts so it take eight to 10 years for one centimetre to grow. That Means that most breast cancers Are present Tor years before we can select them by currently available  Many of those minuscule colonies of suspicious cells known As Micro metastases. May indeed never become cancer and Are immobilized or destroyed by the body s immune system the Only hint of a threat is to be found in the Lymph nodes under the Arm. Ii they contain malignant cells it is a sign that cancerous cells May be developing elsewhere and in thai com surgery is not enough the attack must be body Ida. As or. James n. Ingle a consultant for the division of medical oncology at the Mayo clinic in Rochester minn., said breast cancer is a systemic disease in Many situations which is beyond the ability of surgery and radiation therapy to cure. That does not minimize the great importance of what they do. But when cancer has spread it s like the horse outside the barn we need to rely on systemic  in addition the realization thai the helsted Mastectomy entailing removal of the breast the Lymph nodes and the Muscles of the Chest Wall did not necessarily preclude problems elsewhere redefined the purpose of surgery. The role of surgery love said is local control which is done to prevent the cancer from recurring in the breast but a is All it can do. Survival does nol depend on  that does not diminish the importance of surgery saturday is